San Marino is a very small state with a small health sector, so openings for doctors are limited, and the route is tightly controlled. Medicine is regulated, so recognition and registration with the San Marino health authority (ISS) are still required.

In short: San Marino has few medical vacancies; to practise, you need your degree recognised by the San Marino health authority (ISS), skills in Italian, a job offer, and a work and residence permit, obtained through Italy and the Schengen area. Set realistic expectations, as positions are scarce.

Recognition and Registration

Your degree is assessed by the San Marino health authority (ISS), usually in accordance with European recognition principles, and you must register before you can practise. Expect to submit your diploma, transcripts, and proof of training and experience in certified translation.

The Work Route

The usual immigration route is a work and residence permit, entered through Italy and the Schengen area. Because the health sector is small, most people secure a concrete job offer first and then complete recognition and the immigration steps.

Salary, Specialisation, and Demand

Doctors’ pay in San Marino follows national or collective agreements and varies by grade, region, and experience, and specialists earn more than junior doctors. You specialise through structured postgraduate training after full registration. Demand for doctors is strong across much of Europe, so confirm the salary, hours, and contract in writing before accepting a post.

Avoiding Scams

Use only official regulators and ethical recruiters. Legitimate employers and agencies never charge a doctor upfront placement fees; if anyone asks you to pay to be placed, treat it as a likely scam and verify the employer and the San Marino health authority (ISS) through official channels.

Official Sources

Confirm current rules with the San Marino health authority (ISS) and the San Marino immigration authority, as procedures, exams, language levels, and fees can change.